Individual
JESUSA STRACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14015 N 94TH ST APT 2004, SCOTTSDALE, AZ 85260-3729
(480) 930-9127
Mailing address
14015 N 94TH ST APT 2004, SCOTTSDALE, AZ 85260-3729
(480) 930-9127
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
D11171550
AZ
343900000X
Non-emergency Medical Transport (VAN)
Primary
D11171550
AZ
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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